Individual provider Active NPI

Eileen M Hart, M.D.

  • Specialist
  • San German, PR
National Provider Identifier
1114136298
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
C Street E 10
Urb Santa Marta
San German, PR 00683-0000
Phone
(787) 264-7934
Fax
(787) 264-7929
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

C Street E 10
Urb Santa Marta
San German, PR 00683-0000

Mailing address

C Street E 10
Urb Santa Marta
San German, PR 00683-0000
Phone (787) 264-7934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080407000551 PR Practitioner - Nuclear MedicinePractitioner - Internal Medicine 3678650272 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital de la Concepcion Inc CurrentSince Mar 12, 1991 Accepting new patients
Metro Mayaguez Inc CurrentSince Aug 12, 2007 Accepting new patients
Hospital de la Concepcion Inc CurrentSince Mar 12, 1991 Accepting new patients

Locations

15 Calle Dr Basora N
Mayaguez, PR 00680
Phone (787) 342-6120

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114136298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C STREET E 10",
            "address_2": "URB SANTA MARTA",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006830000",
            "telephone_number": "787-264-7934",
            "fax_number": "787-264-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C STREET E 10",
            "address_2": "URB SANTA MARTA",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006830000",
            "telephone_number": "787-264-7934",
            "fax_number": "787-264-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "EILEEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.